USMLE Step 2 Rapid Review
Questions and Answers 100% Pass
"Sawtooth" P waves - ✔✔Classic ECG finding in atrial flutter.
Angina is new, is worsening, or occurs at rest - ✔✔Definition of unstable angina.
ACEI - ✔✔Antihypertensive for a diabetic patient with proteinuria.
Hypotension, distant heart sounds, and JVD - ✔✔Beck's triad for cardiac tamponade.
β-blockers, digoxin, calcium channel blockers - ✔✔Drugs that slow AV node
transmission.
Niacin - ✔✔Hypercholesterolemia treatment that → flushing and pruritus.
Anticoagulation, rate control, cardioversion - ✔✔Treatment for atrial fibrillation.
Immediate cardioversion - ✔✔Treatment for ventricular fibrillation.
Dressler's syndrome: fever, pericarditis, ↑ ESR - ✔✔Autoimmune complication
occurring 2-4 weeks post-MI.
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,Treat existing heart failure and replace the tricuspid valve - ✔✔IV drug use with JVD
and holosystolic murmur at the left sternal border. Treatment?
Echocardiogram (showing thickened left ventricular wall and outflow obstruction) -
✔✔Diagnostic test for hypertrophic cardiomyopathy.
Pulsus paradoxus (seen in cardiac tamponade) - ✔✔A fall in systolic BP of > 10 mmHg
with inspiration.
Low-voltage, diffuse ST-segment elevation - ✔✔Classic ECG findings in pericarditis.
BP > 140/90 on three separate occasions two weeks apart - ✔✔Definition of
hypertension.
Renal artery stenosis, coarctation of the aorta, pheochromocytoma, Conn's syndrome,
Cushing's syndrome, unilateral renal parenchymal disease, hyperthyroidism,
hyperparathyroidism - ✔✔Eight surgically correctable causes of hypertension.
Abdominal ultrasound and CT - ✔✔Evaluation of a pulsatile abdominal mass and bruit.
> 5.5 cm, rapidly enlarging, symptomatic, or ruptured - ✔✔Indications for surgical
repair of abdominal aortic aneurysm.
Morphine, O2, sublingual nitroglycerin, ASA, IV β-blockers, heparin - ✔✔Treatment for
acute coronary syndrome.
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,Abdominal obesity, high triglycerides, low HDL, hypertension, insulin resistance,
prothrombotic or proinflammatory states - ✔✔What is the metabolic syndrome?
Exercise stress treadmill with ECG - ✔✔Appropriate diagnostic test? ■ A 50-year-old
male with angina can exercise to 85% of maximum predicted heart rate.
Pharmacologic stress test (e.g., dobutamine echo) - ✔✔Appropriate diagnostic test? ■ A
65-year-old woman with left bundle branch block and severe osteoarthritis has unstable
angina.
Angina, ST-segment changes on ECG, or ↓ BP - ✔✔Signs of active ischemia during
stress testing.
ST-segment elevation (depression means ischemia), flattened T waves, and Q waves -
✔✔ECG findings suggesting MI.
Prinzmetal's angina - ✔✔A young patient has angina at rest with ST-segment elevation.
Cardiac enzymes are normal.
CHF, shock, and altered mental status - ✔✔Common symptoms associated with silent
MIs.
V/Q scan - ✔✔The diagnostic test for pulmonary embolism.
Protamine - ✔✔An agent that reverses the effects of heparin.
PT - ✔✔The coagulation parameter affected by warfarin.
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, Hypertrophic cardiomyopathy - ✔✔A young patient with a family history of sudden
death collapses and dies while exercising.
Oral surgery—amoxicillin; GI or GU procedures—ampicillin and gentamicin before and
amoxicillin after - ✔✔Endocarditis prophylaxis regimens.
Pain, pallor, pulselessness, paralysis, paresthesia, poikilothermia - ✔✔The 6 P's of
ischemia due to peripheral vascular disease.
Stasis, hypercoagulability, endothelial damage - ✔✔Virchow's triad.
OCPs - ✔✔The most common cause of hypertension in young women.
Excessive EtOH - ✔✔The most common cause of hypertension in young men.
Seborrheic keratosis - ✔✔"Stuck-on" appearance.
Psoriasis - ✔✔Red plaques with silvery-white scales and sharp margins.
Basal cell carcinoma - ✔✔The most common type of skin cancer; the lesion is a pearly-
colored papule with a translucent surface and telangiectasias.
Impetigo - ✔✔Honey-crusted lesions.
Cellulitis - ✔✔A febrile patient with a history of diabetes presents with a red, swollen,
painful lower extremity.
Pemphigus vulgaris - ✔✔+ Nikolsky's sign.
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Questions and Answers 100% Pass
"Sawtooth" P waves - ✔✔Classic ECG finding in atrial flutter.
Angina is new, is worsening, or occurs at rest - ✔✔Definition of unstable angina.
ACEI - ✔✔Antihypertensive for a diabetic patient with proteinuria.
Hypotension, distant heart sounds, and JVD - ✔✔Beck's triad for cardiac tamponade.
β-blockers, digoxin, calcium channel blockers - ✔✔Drugs that slow AV node
transmission.
Niacin - ✔✔Hypercholesterolemia treatment that → flushing and pruritus.
Anticoagulation, rate control, cardioversion - ✔✔Treatment for atrial fibrillation.
Immediate cardioversion - ✔✔Treatment for ventricular fibrillation.
Dressler's syndrome: fever, pericarditis, ↑ ESR - ✔✔Autoimmune complication
occurring 2-4 weeks post-MI.
100% Pass Guarantee Emilly Charlotte, All Rights Reserved © 2025 1
,Treat existing heart failure and replace the tricuspid valve - ✔✔IV drug use with JVD
and holosystolic murmur at the left sternal border. Treatment?
Echocardiogram (showing thickened left ventricular wall and outflow obstruction) -
✔✔Diagnostic test for hypertrophic cardiomyopathy.
Pulsus paradoxus (seen in cardiac tamponade) - ✔✔A fall in systolic BP of > 10 mmHg
with inspiration.
Low-voltage, diffuse ST-segment elevation - ✔✔Classic ECG findings in pericarditis.
BP > 140/90 on three separate occasions two weeks apart - ✔✔Definition of
hypertension.
Renal artery stenosis, coarctation of the aorta, pheochromocytoma, Conn's syndrome,
Cushing's syndrome, unilateral renal parenchymal disease, hyperthyroidism,
hyperparathyroidism - ✔✔Eight surgically correctable causes of hypertension.
Abdominal ultrasound and CT - ✔✔Evaluation of a pulsatile abdominal mass and bruit.
> 5.5 cm, rapidly enlarging, symptomatic, or ruptured - ✔✔Indications for surgical
repair of abdominal aortic aneurysm.
Morphine, O2, sublingual nitroglycerin, ASA, IV β-blockers, heparin - ✔✔Treatment for
acute coronary syndrome.
100% Pass Guarantee Emilly Charlotte, All Rights Reserved © 2025 2
,Abdominal obesity, high triglycerides, low HDL, hypertension, insulin resistance,
prothrombotic or proinflammatory states - ✔✔What is the metabolic syndrome?
Exercise stress treadmill with ECG - ✔✔Appropriate diagnostic test? ■ A 50-year-old
male with angina can exercise to 85% of maximum predicted heart rate.
Pharmacologic stress test (e.g., dobutamine echo) - ✔✔Appropriate diagnostic test? ■ A
65-year-old woman with left bundle branch block and severe osteoarthritis has unstable
angina.
Angina, ST-segment changes on ECG, or ↓ BP - ✔✔Signs of active ischemia during
stress testing.
ST-segment elevation (depression means ischemia), flattened T waves, and Q waves -
✔✔ECG findings suggesting MI.
Prinzmetal's angina - ✔✔A young patient has angina at rest with ST-segment elevation.
Cardiac enzymes are normal.
CHF, shock, and altered mental status - ✔✔Common symptoms associated with silent
MIs.
V/Q scan - ✔✔The diagnostic test for pulmonary embolism.
Protamine - ✔✔An agent that reverses the effects of heparin.
PT - ✔✔The coagulation parameter affected by warfarin.
100% Pass Guarantee Emilly Charlotte, All Rights Reserved © 2025 3
, Hypertrophic cardiomyopathy - ✔✔A young patient with a family history of sudden
death collapses and dies while exercising.
Oral surgery—amoxicillin; GI or GU procedures—ampicillin and gentamicin before and
amoxicillin after - ✔✔Endocarditis prophylaxis regimens.
Pain, pallor, pulselessness, paralysis, paresthesia, poikilothermia - ✔✔The 6 P's of
ischemia due to peripheral vascular disease.
Stasis, hypercoagulability, endothelial damage - ✔✔Virchow's triad.
OCPs - ✔✔The most common cause of hypertension in young women.
Excessive EtOH - ✔✔The most common cause of hypertension in young men.
Seborrheic keratosis - ✔✔"Stuck-on" appearance.
Psoriasis - ✔✔Red plaques with silvery-white scales and sharp margins.
Basal cell carcinoma - ✔✔The most common type of skin cancer; the lesion is a pearly-
colored papule with a translucent surface and telangiectasias.
Impetigo - ✔✔Honey-crusted lesions.
Cellulitis - ✔✔A febrile patient with a history of diabetes presents with a red, swollen,
painful lower extremity.
Pemphigus vulgaris - ✔✔+ Nikolsky's sign.
100% Pass Guarantee Emilly Charlotte, All Rights Reserved © 2025 4
